HomeMy WebLinkAbout111 Wentworth Drive :00_001CN30
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
'ro" OF SOIT1'H WIPMS01ty CCNW PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, /1, /it, IV, and IX. O
/ ZONING •
I• AT (LOCATION) /� VS!-r---KTYJ=>-P,-T'H j?ntSlE DISTRICT A^+0�j/�
LOCATION r" (NO.) (STREET)
OF BETWEEN r�KEtMLL� *-r.. (STREET)
�
BUILDING (CROSS STREET) �• (CROSS STREET)
LOT
SUBDIVISION M '�tn-yy7� 'rA E—.2rx ICES LOT�BLOCK SIZE ISiC'X:�IQ fi sVM'
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —�
�o
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
1 New building Residen al Nonresidential
2 ❑ Addition(If residential, enter number 12 Q e family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family - Enter 19❑ Church, other religious
number of units- - - - -•� 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 l h Transient hotel, mote
❑ l 21 ❑ Parking garage
4❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (1l multifamily residential,
of units ------- - -i 22 ❑ Service station, repair garage
enter number of units in building in 15❑ Garage 23❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) 17❑ Other - Specify 25❑ Public utility
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 Private(individual, corporation,
28❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other - Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement................ school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT s
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 2
30❑ 48. Number of stories.........
Pu Masonry(wall bearing) 40 blic or private company """'
31 ZWood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other - Specify 42 Public or private company `-� Total land ores, sq. ft. ...........
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35[OGas Will there be central air 52. Outdoors.......................
36❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ El ctricity 44❑ Yes 45 Ej?"N a 53. Numb r f b dro me.............. 4-
38❑ Coo 1
39❑ Oth r- Specify Will there be an levat r? Full.......... 2
54. Number of
46❑ Yes 47 ZJNo bothro me
Porfial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No.
tic. 664; Sc� w(m som , C,r G o- 'A 44—;�3
Owner or
Lessee
2. S << •
Contractor
3. AL A u L 1*4-11s ~�--
Architect — )
Engineer
The own of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sig to of Opplica Address f Application date
Cam'
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w Re uired Check Plan Review Date Plans By Date Plans By Notes
9 Fee StartedApproved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval I Check Date Number By
pp Obtained y pp Obtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number 12698
Bui Iding
Permit issu d M" 10 19 87
Building
Permit Fee $ ' 90♦00
Akroved y:
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ti
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date 10 , ig 82
Fee Paid ,$. .390.00 Est. Value ,$-64 9 060.00
Permit No 12698
on the side of
Lot #49 Wentworth Drive Save
Street No. i l l
Owner R.J.Al exander._ Inc.
Applicant $g=nnd .T. Al e xgnd p r
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 6046
Fee Paid $ .00
CLASSIFICATION
Dwelling
BUILDING PERNO T
N° 12698
OMCE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. May 10 fig
94is is to Cerfiff7g, That R•.J. Alexander Inc.
is herebyanted ion to Dwelling
granted permission
at estimated value of
on the side of—Lot #49 Wintmnrt-h 1]r ye Street an land
owned b3R..1..Alexander- Int.
Salierk to be as described in Applicatim
No12998 and to conform to specifications and plans filed with said Application, and Building By-
laws of THE TOWN OF SOUTH WINDSOR.
Issued maw t n see
;#"uilding Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to mason therefor."
04-333
INSPECTION REPORT`///
�r.
Permit # Job
1 Footing
"
2 Foundation
3 Framing �-
4 Wiring _
5 Plumbing
6 Heating -c-
7 Lathing
8 C.O. ��!f
Dwelling - Lot #49 Went.Est. III 5/10/82
R.J.Alexander, Inc.
111 Wentworth Drive Permit # 12698
Electrician Garber-Doran # 7678
Heating Contr. J. Vedovato # 5559
Plumbing it J. Vedovato # 6060
Oil Burner #
Certificate of Occupancy # 6046
Plot plans apprd. per Engr.
Permit No. 6 y {f TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit lr o 6046
Certificate of Occupancy
THIS < TO CE IFY that the
at No. ' in the of South Windsor, Connecticut, has
been erected and completed in accordance with the Puilding Code and Zoning Regulations of
the Town of South Windsor, and is hereby appr ved occupy y.
Building Inspector
Owner, Builder
Fee Paid 'fir Date
s
ce
L..oT y e> LAC')
I
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t� cv-Z-P�Z A.►�0 ZoN►�.►G�
tit' 1�o•0ca'
cc GCAM
PLOT -PLAN
PROPERTY of,
r #two r croup r
rm,r. rms mil' IS .AWar,4Nr/ALL r co*mtcr
41v0 ZDAYNO NfOU"MMS ARE moo YNOL Arta.
• SC.1 L C.- 1 1N. yo FT. DA T E.
VED
TOWN ",,"'INDSOR
r3L---PPR'T I'll ENT
DATE: ----------
---S�
SIG.:
/b/6
ELECTRICAL APPLICATION
Application No. 8789
on the side of
oe/`7 /Jr. Street
Street No. _ 1 1 1
Owner k J /9/eIxC4.11 8 c1+
Electrician Oer,-i,' Cur,6a r'
FILED IN OFFICE Or
The Building Inspector
June 7 19 82
INSPECTION.
e3)'No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
1
APPLICATION FOR PERMIT TO DO ELECTRICAI, WORK.,O K.
No. ....... ...8.7.8.9...... ......
Permit No. ........7 6.7 8....... ..
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
..... hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not. Jj
South Windsor, Conn., T'ti,�t tt 19 p•Z Sign here .. . ...................
Address eO Car-pe.,T'e,..../�L'...M . ..ti..�f.T'P•• d6oSoo
Location Side of ...
�. ... ... `1....... .
Nature of Building How many stories ............ .......a............................................... .................
Newor old Building ............NC.w. .. . .. ....... .... How many families ...................i.........................................................................
Kind of Installation ... . .X. ... How many Stores .. — ...............................................
Owner ...........�:..j.. .../.1 4xcs."d er. .. ..................... _... ........... Address ..G.r f.44�....... ."q�:.........5:.. ........._......................
Architect . ...... .... .. Address ..............................._................
�...__....._.....__....
Buildr .. Address ............... ................................... ....
Electrician ..�j...�G.r.b er........�� .`..�G..... ......... . . .. Address -Scr eQ...................................................................._......._....._._...
Size of Main Wires .. ... .
No. of Light Loops ... .... . ... . . ........ No. of Heat Loops . ...... . . . . No. of Power Loops ........................_........_....
No. of Light Outlets .......... No. of Heat Outlets ... No. of Power Outlets ................. ............
NoO of Light Circuits No. of Heat Circuits No. of Power Circuits
No. of Sockets ... . . �}... .. ... No. of Heat Receptacles No. o! Motors
No. of Panels ........................ ...... .. ... Size of Heat Circuit No. of Power Receptacles . ........
No. of Switches ........... .... .'�.. .. Total Wattage Size of Power Circuit
Total Horsepower
No. of Straight Electric Fixtures No. of Combination Fixtures ... .
No. of Receptacles ........................ ..C/..� ... . .................... . No. of Cord Drops ....... .. ................... ..................... ...... .....
Remarks: For other kind of Installation ... . 4a':`!QP A. ......!-!! ��+�'r........'�.......-A e� h o•�•,Q
.. .... ........... ...............
.................................................................................................. ...... ............................... ..............._............................................................................................... .............. . ....... . ....... . .
........................................... ............................................................. ......... ..................... ... _..................................................................................................................................... ...... .
..................................................................................... ....... ...... ... ..................................................................... ........... .... ........................... .... . ..... ...... ........... ...
Estimated Cost .... .......1.700. ...........
6060
PLUMBING APPLICATION
AppF,mtim No. 6 8 3 9
on the._...__.... i&of
Street Na ._...
C� --
Owner ....SX_'
Plumber ....
Filed in of
The
_ 12/27/82 19
n�t�caox.
No person shall commuct; add to or abw my
portion of the die system of my bwl&mg
(ezoept to repair Leah) usg a is pas td
by the Building Impomw.
Application No. .... 8 3 9 ...... permit No. �P60................TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
South Windsor, . ..... ....... 1 e�-.. Sign here ........ ............... ..................................
Add ... ...... ........1��v...............................
here
Location .. .... .. IF..... . .......... .. side o ............... . ........ ......... .....................................I...... Street
Nature of B 9 ..................................... How many stones
U �ff-��....�....t:...... .
..................................... ..................................
Owner ...............2�?..... ... Address. ................................................................................
Architect .. .. ..................... . . . . .. ................... .................... Address .... ................. .. ...................................................... ...................
Builder ......... .......... .... ....................................... Address ................... ... ............... .......... ................................. ...........
Plumber ... ....................................... Address ........ ......................................
DRAINAGE
CESSPOOLS, How many ij;;�. Where located .. .... . .. . ........ ..............................................................
Are they water tight . .. .... Of what materiaW4�are they built ..........
Size of pipe from house to cesspool V. Kind of pipe . .... ...... *.......... ...............MAIN DRAIN IN CELLAR, Matenal ....0, Diameter .......94..............................................................I....I................I..........
Aboveor below cellar bottom ...................................................................................................................
SOILPIPES, Material .............. ......... Diameter,"C.... .....................................................................................................
WASTE PIPES, Material Diameter 3......................................................................................................
TRAPS,Type proposed to use is . .... ......... .... .. .. .. ...I.....................................................................................I ...................................
RAIN WATER LEADERS, where do they run to . . . .... . ...............................................................................................................
REFRIGERATORWASTES, where do they run to . .. ... .............................................................................................. ..............................
TANK OVERFLOWS, where do they run to . . . .. .........................................................................................................
FIXTURES
WATER CLOSETS, How many ... ... Where located ...........................................................
Distance from trap to vertical soil pipe ...................................... Pattern ................. ..............I...................................................
WASHTRAYS, How many .. ........... ...................................... Where located . ................... ............... . .............................................
SINKS, How many ........... ... /.............................................................. Where located / .......................................................................
BUTLER'S SINKS, How many ........................................................ Where located. . .................................................................................................
REFRIGERATOR SINKS, How many .. ................................... Where located ...............................................................................................
LAVATORIESy How many . r Where located !'.a. l..Z.
, ......................................................................
BATHTUBS,How many................/.....................I............................. Where located ......2........................................................................................
URINALS, How many ....- - ........................................................ Where located ...................................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
ofroom where same are to be located ....... .. ..................................................................................... ...............................................
Estimated Cost. .... ........................
PERMIT #
Application For 6660 5559
DEPARTMENT DECISION
0
0 Heating Permit
3 APPLICATION IS HEREBY:o DEPARTMENT OF LICENSES AND INSPECTIONS
a�
N KkAPPROVED ❑ DISAPPROV
.� TOWN OF SOUTH WINDSOR
� p
00 12D T� 8 2 IEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL ■
O
E O 1. LOCATION OF JOB
O
O /
o
NO. STREET
co Q
L T NO. FLOOR APT. N0.
O O
4a LV
T w
O O "
E 2. OWNER
O c
bo 3 & ADDRESS
— 4.PHONE
Cc
S. APPLICANT
r m �
'0 'C S. ADDRESS ` G� CZZe zo
S. LICENSE NO. -- � I6
O.
C y♦'-+ s. EXPIRATION DATE OF LICENSE
v
rn
10. ESTIMATED COST S
r= bG 11. IS THIS A CONTRACT COST? ❑ YES ❑ No
.2). .R
12. FEE ENCLOSED s-Ee rm i t #1 2 6 9 8
V K
O 9 S. TYPE
]]••OFFB�BUILDING:
fA
50 L1JESID[NTIAL
❑ COMMERCIAL
O .�
Cd 3
14. TYPE OF JOB: ❑ INDUSTRIAL
�" �" ��RICrAL ❑ ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Rev roe side)
11. LOCATION OF JOB
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
0 GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS 45"Ln
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER URNAC/E MAKE AND NO. _ AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N B.T.U. OR SQ. FT. NET J B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED Z NEW OR OLD BUILDINGS&'4L./ - INSULATED - YES OR NO
TYPE OF WALL V INSULATION z ROOF OR CEILING INSULATI
AVG. SYSTEM WATER TEMP. -1,?G�6�-��� B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE GQ- z O °FAHRENHEIT
MAKE OF RADIATION: BASE BO RD. C PER CONVECTORS, OR C.I. RADIAT N. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK ZCt�C -
15. TO BE DONE:
18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
_ j r.0
AF. i?r9TRIp11Ya•'fr� FN91tALC[D
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mac'mc !
To r" T rr- Afuo nags ow L`A 9A
ctr
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I
11
1i1�10:fofYa-sP'
Ole
3 I 1
i :CsI ALL I
A. HEAT LOSS FROM BUILDING �� B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
IS. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
DATE S16NA IJR F APPLICANT
B i dng FC!T/-o'qC)' APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date: 30
Sprinkler 111 Wentworth Drive
Electric Estimated Cost $ 20�!)d
Zoning 17570 Permit Fee $
Affidavit NO. Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ 33
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.
(Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location W C7*'�ORIrI4 10k , Svc crH cu 10.49s Lot No. Side of Street Zone
Applicant D-r DU- W 1 S ory Tel. # 6c4ct-3gZ_7
Address I It �vCt"t�at2-1"t,6 4�2 Sv Gv�/�S�C cT Zip Lic.#
STREET CITY STATE
Owner b4u)D L4.1. IL-AS M Address S4'' C
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area ZS ZYIPL-#Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit
City Vyater Well ❑ Septic ❑ Sewer
Approved by Date 3--34-Y2 BD1A 11/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lines and required distance rom all other zones and is
located in a zone in which this building and its use is allowed.
Signed 1
I hereby apply for a Certificate of Occupancy for the work described in this ion for per i .
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD �
foe4 v F ram i �—
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# 7/ 7 Inspections:
Electrical Permit# D 71-2 Inspections:
Sprinkler Permit# Inspections:
PERMQIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT ®qS
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED 0 D BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .
Date Building Inspe to
1 . LOCATION OF JOB
11► wE�X'LA.)-00T"" S�
FEE SCHEDULE No . Street
$ 0 - $19000 - $10. 00 Floor Apt . No.
Over $1 , 000 - $10. 00 2 . OWNER NAJ111 LJ► WIL-SOt,)
per $1 ,000 or
fraction thereof
3 . ADDRESS
5 a poi kh9s ea.,CT
4 . APPLICANT '34/W6-
5 . ADDRESS SS}•relC
6 . ESTIMATED COST $ 5700,
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ f•- y
9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
Original � . allation
Alterati /Addition epair
BD 3A 11 /RR
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB III W ffV7CkaleTk (3 oQ
NO. STREET APT. NO,
12 . TYPE OF INSTALLATION 4111t�
13. SIZE OF MAIN FEEDER 2— Q,`�
14. NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO. OF POWER LOOPS 17 . NO . OF LIGHT OUTLETS
18 . NO. OF HEAT CIRCUITS 19 . NO . OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 21 . NO . OF HEAT CIRCUITS
22 . NO,, OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO. OF PANELS 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 31 . SIZE OF POWER FEEDERS
32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE N0 . 4GNATURE OF APP CANT DATE L
PHONE NUMBER: 6YY---3 9 Z7
_ pan"
Applkation For
DEPARTMENT DECISION $ Peru
ArnrAT oN Is N1gn:
OVARTUM Of AID
A/lA011q O N�A!l�01It�
'DOWN OF SOUTH WINDOM
on cow swettM w an awM
t:Lj ell\)+ r,^-t /I r-
UN N& ftm . ow
Now
�f r C04 a o ).
-7
Ann
CL
IL DAt< W LWAM
Ir
18. OF trip A COMM= Coat O m�
� � a. was aa..s • � • � �
too lV?VrjwvA=l&
�iown 09 usomm O
�.. me OF e�
O ..
a
40 We t(-Lo
"k oR MII<TAWTOW ❑ am BURNaI ❑ Itcme CY l�Lae
❑ Ms BnRMER ❑ ON MTOR
Qdzs
MN
�a
ts, o iwc Toll .ILL o °wsllT
�4. B.T.U. =UIP. AT RE GiS :,nomw-...rFURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AIM NO. -- & B.T.U.OR SG. FT. NET B.T.U. OR S0. FT.wms.FIRING RATE
FLOORS TO BE HEATED / NEW OR OLD BUILDING INSULATED —(�T OR NO
TYPE OF WALL w1 CATION ROOF OR CEILING 4 7.3 INSULATION
AVG. SYSTEM WATER TEMP. LT.UJSO. rrm EMISSION
I TEMPERATURE DIFFERENCE _1 FAHREIINEIT
RMAU OF RADIATION: BASEBOARD. COPPER CONV9CT0T ON,C.1. RADIATIO�I.�UTMJT PER SECTION OR LINEAL OF RADIATION. S0.
R. an D.T.Y. L) ,sae r ##
BOCBIPTaM or �oRlc /I� C_,6
>ss. To a
14. MM W LOSS SCO MLL do RE MMCIEWO FOR ALL Auh
04NM Mid ANKA - 8QUARt IttT 11�1m ILT.1�Twab V�r?.1► YTION 1M�TA�LlOVow" it
�� "'�. wr ft� OW swum Raw r.PT. Ar w v ! �wTsw
t ~ �w 111�RTJ vow A ► *11M M= `J.
* LtwOa
Hit �` so ��• �
f
MWA
i
MEMNON
TOTALS
A. HEAT LOSS FROM BVINNING 71 h` LT.UJNR.
L DOMESTIC NOT WATER DEMAND LT.UJNL
C. PIPING.OTHER THAN NORMAL LT.UJHR.
ALLOWANCE FOR MEAT VALVE OF FUEL 1A B Q FACTO%
17. ELBCTRICAL WORK DY•
NAM
EACONTRACTORS AND
Is. TMEIR TRADES
ALL WORK COMM BY THIS AFFUCATION HAS BEEN AUTHOR BY THE(OWNER) OR (AGENT) Of TM PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUKDING COOS.
OPLICATION TO BE COMPLETELY FILLED IN.
Electric# 13L9 APPLICATION FOR BUILDING PERMIT
Plumbing# 111 WENTWORTH DRIVE
HVAC # —�' J 2 Date: 9/Y
Sprinkler# % No. 2 619
FINAL PP OV Estimated Cost $ �v v
Building�1 3� COMPLETE RED BOXED AREAS Permit Fee $ 7r�
Engineeri g TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO // S i--' Total Fee $ 7
TO BUILDI EPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location & WeAJA'`4104( Dl� Lot No. Side of Street Zone
Applicant 54ito) meryeR 6affdjaq
I Tel.# 97f 32z
Address SZB Wgl,"Z4 1� we(e T C'T Zip 4-71( Lic.# S if j 77 2
Owner .0W v.e t4Al S ow Address
Architect Address-
Sq. Ft.New Area: 1st FI. 2nd Fl. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit: oyjr_ enJ /ten ao/r�
CM o t-x COCA
City Water C Well [I Septic System ❑ Sewer 2
Use Group ¢ Construction Typ r-a Area / Basem nt Garage
Approved by Date 5 f/
Revised 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked, and agree that this building is to be located the proper distance from all street lines,side yard lines and required
distances from all other zones and is located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signe)61
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
95-22619-B 6,500
B09 OTHER 09/14/95 JFH FRAMING
B03 FRAMING (ROUGH) 09/18/95 JFH A HEADERS
E02 UNDERGROUND 09/22/95 JFH A
H02 UNDERGROUND 09/22/95 JFH A
B10 FINAL 10/31/95 JFF D KITCHEN GFI S
B10 FINAL 11/30/95 JFF A APPROVED FOR CLOSEOUT & CO
95-13638-E 550
95-9297-H 500
P ExxR M I T
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT IJ la3 if
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
Q/r'Ar
644-2511 Ext. 230
Da a ui I e c t o r Application must be printed or typed
1 . LOCATION OF JOB
FEE $CIIEDULE No . Street
$ 0 - $10000 - $10.00 Floor Apt . No.
Over $1 .000 - $10.00
per $1 �000 or 2 . ONNER �� (,y . (,t�! C.S�
fraction thereof S �
3, ADDRESS
4 , APPLICANT S �
S • ADDRESS
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Y i No j
i
8 . FEE ENCLOSED $ ,
- 9. TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair R
i
t
i
RI) 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB . W
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO . OF PANELS 27 . TOTAL WATTAGE
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER
34. NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
/ w 1 1 ��
44-11w
q
LICENSE NO. ��Sji
NATURE OF APPLICANT DATE
PHONE NUMBER: 6 q7 - 39 Z�
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: L?- 1
(NO. TOWN OF SOUTH WINDSOR EST.COST:
BLDG. PERMIT N0. ' aZ 6/� 1540 SULLIVAN AVENUE FEE lb,dQ
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $19000 - $10.00
$1000 or fraction
LOCATION OF BUILDING r vC1ery� wc11;f`-� , / , thereof - $10.00
d w4e�twb�
OWNER ADDRESS TOWN PHONE NO.
q 6 lec 'D t.j j (40
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL J/
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC j, ~ WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) (HEAT LOSS SHEET MUY,,,AC COMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): ,LjQ L.?e--
0 tue &D b b
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN (BTUH)
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
TONNAGE COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT):
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
(PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: �oh B Co d b rSO�, ( �'�j1O &Z 43 3 5 M /2 TO
C
STATE LICENSE - NAME & TYPE # DATE SIGNATURE OF APPLICANT
APPROVED DATE
BD 4A 11/88
I - B - R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM Q Design Water Temp.
O H L W H L W H L W H L W H L W
2 ROOM DIMENSIONS, FT. ~
U BTUH pM Po t of
3 LENGTH EXPOSED WALLS, FT. a Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
WALL CONSTRUCTION ROOM LIN. FT.OF
(Table 9, Line 3 x H) TOTALS RADIATION
F,76
TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom of table used for Line5)
CEILING CONSTRUCTION C
(Table 9, L x W) _
B FLOOR CONSTRUCTIONf
(Table 9. L x W or Lin. F t) E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x H)
G
10 C 1 Wall(With Openings) _
=o H
c± 2 Wails(With Openings) _DX
3 Wells(With Openings) or Ent.Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
K
12 TOTAL BTUH AT DESIGN TEMP, DIFFERENCE ki
COL.A COL.B COL.H COL. 1 COL.J COL.K COL.L TOTAL BTUH TOTAL
-- --- OF BUILDING RADIATION
1 ROOM Ix AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS. FT f' DIFFERENCE
_ U -
3 LENGTH EXPOSED WALLS, FT Q
4 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9, Line 3 x H) TOTAL 20%
6 TYPE OF GLASS
(Bottom of table used for Line 5)
--- -- — — tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION
GROUND OR FILL AT
(Table 9, L x W) GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
(Table 9, L x W r Lin Ft)
9 COLD PARTITION CONSTRUCTION
(Table 9, L x H)
10 C 1 Wall(With Openings)
0 e --- --- - ---— ---- -EZ Z 2 Walls(With Openings) —x — ----- — ----
J
3 Wells(With Openings) r Ent. Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form Is available from The Hydronlcs Institute,36 Russo Place,Berkeley Heights,N J 07922